我院妇科门诊女性压力性尿失禁患病和影响因素调查

目的 了解女性压力性尿失禁的患病及影响因素.方法 采用面对面的询问方式.调查从2006年7月～2006年12月.调查对象为在我院妇科门诊就诊患者785人.调查项目包括:年龄、孕产史、分娩方式、妇科疾病、泌尿系疾病、尿失禁状况、就医情况等.数据采用单因素非条件Logistic回归分析.结果 压力性尿失禁的患病率为7.5%.调查显示,诸因素中年龄OR:2.343;95%可信限(CI):1.575-3.468]、足月妊娠次数(OR:1.561;95%CI:1.127-2.162)、会阴撕伤(OR:3.180;95%CI:1.792-5.642)、急产史(OR:2.097;95%CI:1.182-3.719)、绝经(OR:1.959;95%CI:1.125-3.412).子宫脱垂(OR:2.103;97%CI:1.199-3.691)、盆腔手术史(OR:2.71;95%CI:1.383-4.417)、尿路感染史(OR:2.732;95%CI:1.580-4.469)、尿路结石(OR:1.744;95%CI:1.020-2.982)是压力性尿失禁的影响因素.结论 女性压力性尿失禁的发生与多因素有关,尤其与年龄、足月妊娠次数、会阴撕伤、盆腔手术、尿路感染等因素关系密切.

Investigation of the etiology of the female stress urinary incontinence and its affecting factors

Objective To understand the etiology of female stress urinary incontinence and its affecting factors. Methods From July. 06 to Dec. 06, 785 patients were investigated by face-to face inquiry. The examining Items contain: Age, gestation hiatory, birth style, gynecological disease, urinary disease, the existing situation of urinary incontinence and relevant medical consultation. Datum derived were analysed in a mono-factor unconditional and retrographic way. Results The incidence rate of stress urinal incontinence is 7.5%. The investigation showa: Among the factors: Agedf(OR:2.343, CI:1.575-3.468), times of full-term uterogestation(OR:1.561, CI:1.127-2.162), tear of pericneum(OR:3.18, CI:1.792-5.642), emergent brith(OR:2.097 CI:1.182-3.719), menopanse(OR:1.959, CI:1.125-3.412), droppy uterus(OR:2.103, CI:1.199-3.691), pelic operation (OR:2.710, CI:1.383-4.417),urinary infection(OR:2.732, CI:1.580-4.469), urinary calculus(OR:1.744,CI:1.020-2.982). These mentioned above are all affecting factors of stress urinary incontinence. Conclusions The incidence of female stress urinary inconstience is affected by many factors. It is specially relafed to: age, times of uterigestation, perineam tear, pelvic operation and urinary infection.